BSPN2017-002678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BSPN2017-0026
Property Address: 81275 STORM CAT CT
APN: 767790055
Application Description: LENNAR / SPECIAL INSPECTION / CONVERT MODEL TO SFD
Property Zoning:
Application Valuation:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
IOTA "GRIFFIN
4675 MACARTHUR CT NO 1550
NEWPORT BEACH, CA 0
Date: 6/29/2017
LICENSED CONTRACTOR' ECLARuAn Nl
I hereby affirm under penalty of perjury that I am I ensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 Business and Professions Code, and
my License is in full force and effect.
License Class: _ License No.: _
�6- L`l' n
Date: Contractor:
� f1 � KQ✓
r t
OWNER -BUILDER DLARATIO�
I hereby affirm under penalty of perjury that I a xempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires the applicant for the permit tofile a signed
statement that he or.she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section'7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 11, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that he
or she did not build or improve for the purpose of sale:).
I ) I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors' State License Law.).
I ) I am exempt under See. . B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ, C.).
Lender's Name:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of thew rk for which this permit is issued.
fhave and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
_ 1 certify. that in the performance of the work for which this permit is issued, 1
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree if 1 should become subject to the
workers' compensation provisions of Sectio 3 0 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant:
. 4`c�
WARNING: FAILURE TO SECURE WORKERS' C PENSAt}IO C VERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit issued
as a result of this application, the owner, and the applicant, each agrees to, and shall
defend, indemnifyand hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation. h
I certify that I have read this application and state that the ab i rmation is correct.
I agree to comply with all city and county ordinances and stat I w elating to building
construction, and hereby authorize representatives of this cit toe er upon the above-
mentioned -property for inspection purposes.
C
Date:
' Signature (Applicant or Agent):
Lender's Address: I r Le N h`/
Applicant:
Contractor:
LENNAR HOMES OF CALIFORNIA INCA
N #-Z o
25 ENTERPRISE
' a'
ATTN GOREEN MUELLER
5 �;
ALISO VIEJO, CA 92656
Llc. No.:--------------------------------------------------------------------------------------------
0
LICENSED CONTRACTOR' ECLARuAn Nl
I hereby affirm under penalty of perjury that I am I ensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 Business and Professions Code, and
my License is in full force and effect.
License Class: _ License No.: _
�6- L`l' n
Date: Contractor:
� f1 � KQ✓
r t
OWNER -BUILDER DLARATIO�
I hereby affirm under penalty of perjury that I a xempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires the applicant for the permit tofile a signed
statement that he or.she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section'7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the
alleged exemption. Any violation of Section 7031.5 by any applicant for permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
( 11, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that he
or she did not build or improve for the purpose of sale:).
I ) I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors' State License Law.).
I ) I am exempt under See. . B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ, C.).
Lender's Name:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of thew rk for which this permit is issued.
fhave and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy Number: _
_ 1 certify. that in the performance of the work for which this permit is issued, 1
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree if 1 should become subject to the
workers' compensation provisions of Sectio 3 0 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant:
. 4`c�
WARNING: FAILURE TO SECURE WORKERS' C PENSAt}IO C VERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit issued
as a result of this application, the owner, and the applicant, each agrees to, and shall
defend, indemnifyand hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation. h
I certify that I have read this application and state that the ab i rmation is correct.
I agree to comply with all city and county ordinances and stat I w elating to building
construction, and hereby authorize representatives of this cit toe er upon the above-
mentioned -property for inspection purposes.
C
Date:
' Signature (Applicant or Agent):
Lender's Address: I r Le N h`/
Application Number:
BSPN2017-0026
Property Address:
81275 STORM CAT CT
APN:
767790055
Application Description:
LENNAR / SPECIAL INSPECTION / CONVERT MODEL TO SFD
Property Zoning:
Application Valuation:
Applicant:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ATTN GOREEN MUELLER
ALISO VIEJO, CA 92656
Owner:
IOTA GRIFFIN
4675 MACARTHUR CT NO 1550
NEWPORT BEACH, CA 0
Contractor:
Date: 6/29/2017
LIc. No.:
---------------------------------------------------------------------------------------------
Detail: SPECIAL INSPECTION - CONVERT MODEL TO PRODUCTION SFD FOR OCCUPANCY. 2016 CALIFORNIA BUILDING CODES.
..:- �wnnlrinr ilucnszr
DESCRIPTION ACCOUNT QTY AMOUNT
SPECIAL INSPECTION 101-0000-42404 0 $76.00
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $76.06
TOTALS:00
A w
Bin #
Q#ty of La Qulnta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253.7 (760) 777-7012
0024o Building Permit Application and Tracking Sheet
Permit #
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Project Address: ec At !Cn6^
Owner's Name: r<r 6 5 t
:A. P. Number:
Address:
Legal Description:
City, ST, Zip: are^y -871
Contractor: Lt a � JWtc
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Telephone: one: (� V
P I 3 5 9
Address: 9v -*,,Aor . -- �0 V
Project Description:
City, ST, Zip: /GA. G(1�1 l
J Ccr. Cc. "� ��. o Jf^ • C
Te p o
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. V ,M,
State Lic. # :.-77 & 0-2—
City Lic. #:.
C1718 4 7 5t C 01-3 15 SAWm CAI <-1
Arch., Engr., Designer:
.
Address:
City, ST, Zip:
- 2.1 S S��Wc (. `� ,
Telephone:Con
-
State S Lic #:
strudion Type: Occupancy
e: Occu cY=
ProJ ect nPe (circle one)
• New Add' n Alter r R Demo
Name of Contact Person: (C rlaal
Sq. Ft:
# Stories:
# Units:
Telephone # of Contact Person: ��'. �,-3�
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Revicwed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A.'Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees